| NPI | 1750409553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: TX 115909) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: TX 661676) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-04-29 |